eConsultBASE™ (Building Access to Specialists through eConsultation) is a secure web-based tool that allows physicians and nurse practitioners timely access to specialist advice on behalf of their patients. Physicians and nurse practitioners submit a clinical question to a specialty group (e.g. pediatric cardiology). The case is assigned to a specialist based on availability, who responds within one week (median response time is 1.2 days).(1) Two-thirds of cases are resolved without the patient needing an in-person specialist visit.(1) For the remaining third of patients, eConsult allows specialists to guide physicians and nurse practitioners in managing the patient’s care while they await an appointment, minimizing the burden of waiting. The service is available at no cost to the patient or provider.

eConsultBASE™ allows physicians and nurse practitioners to provide patients with care that is more timely, efficient, and cost-effective, and it improves patient safety. In addition to benefits for patients, eConsultBASE™ improves care coordination and collaboration between physicians/nurse practitioners and specialists and allows them to manage patient care at the family practice level, where patient trust is often highest. This model is patient-centered and primary care driven. Its consistent and positive results have led to its adoption at the provincial level and replication in nine provinces and territories across Canada.

eConsultBASE™ is supported by the College of Family Physicians of Canada, Royal College of Physicians and Surgeons of Canada, and the Canadian Medical Protective Association. This model and the extensive evaluation of its use have been described in the literature. (

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